Retention is term for activities reduction the archives of store shelves. Retention documents record medical may be done by means move archive medical inaktif record, microfilm file medical record in active, destroy file medical record, and made the news the event of transfer and the implementation of the annihilation archive. RSUD Ambarawa use the storage centralization with a system of the juxtaposition TDF (terminal digits filling). Retention documents medical record at RSUD Ambarawa be made to reduce number of documents record medical kept because limited storage space. RSUD Ambarawa not his own list the transfer of documents record medical active, the policy on retention and standards operational procedure retention documents medical record. The purpose of research is to understand the implementation of the retention documents medical record at RSUD Ambarawa in terms of men, money, material, machine, methods and market.The kind of research used is research qualitative. A method of the data by using observation and interview.The research indicated that retention done by three officers from filings. There are no funds for the implementation of retention special. Equipment used the book register, stationery, instrument scan. Retention conducted based on in the directive on the implementation of the retention director rokumen record medical. Methods used that is a method of the transfer of repeatedly and no engagement other parties in the implementation of the retention documents medical record.